Nutrition and Dietetics - Adults

Haringey
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For up to date Service information, referral forms, patient information leaflets please go to the new service website: www.whittington.nhs.uk/diet

Nutrition and Dietetics Community Services

Haringey’s community provider for nutrition and dietetics is Whittington Health. For patients registered with a Haringey GP and who meet the referral criteria below. All patients referred must express motivation to change. We also offer a limited paediatric service, specified below. 

 

GENERAL NUTRITION SERVICES – Who to refer…

Diabetes

Pre-diabetes: Patients with pre-diabetes who have not responded to first line advice.

Type 1 Diabetes: Please refer to acute diabetes team.

Type 2 Diabetes: Newly diagnosed Type 2 and Poorly controlled Type 2

Include recent Hba1c, BP and Lipid results

 

Diagnosed Digestive Issues

Irritable Bowel Syndrome

Coeliac disease

Diverticular Disease

Functional gut symptoms (bloating/wind/constipation/diarrhoea)

See GP IBS Referral Proforma under “referrals” section

 

Enteral Feeding Service (Adults)

The Home Enteral Feeding service supports and manages patients unable to eat orally who are tube fed via Nasogastric, Gastrostomy or Jejunostomy feeding routes. Mobile patients can be seen at any of our clinics.

 

Cardiovascular

Raised lipids

Hypertension

Other (please state): Include recent Hba1c, BP and Lipid results

 

Malnutrition /Nutrition Support

Unintentional weight loss of 5-10% within 3-6 months

Pressure ulcer

Nutritional supplement review

Ongoing poor appetite (>10days)

Dysphagia (must also be seen by SALT)

Provide current weight and weight history over the previous 3 months with BMI and/or height.

 

Diagnosed Nutritional Deficiency 

Iron deficiency anemia

Vitamin D

Vitamin B12

Other (please state, with supporting biochemistry)

 

Weight management

BMI > 30kg/m2 (or >27kg/m2if South Asian Ethnicity)

 

For up to date Service information, referral forms, patient information leaflets please go to the new service website: www.whittington.nhs.uk/diet

For other nutrition prescribing guidance, please click here.

 

PAEDIATRIC NUTRITION SUPPORT

For more information please click here.

 

HOME VISITS

For adults who are housebound and are not able to be brought to a clinic via transport/car, a domiciliary visit and /or telephone consultation can be arranged with the patient, if they meet the following criteria:

Type 2 Diabetes (a one off visit)

Patients with persistent raised fasting glucose > 7.0 mmol/l or HbAIc7.5% or 58 mmol/mol, who have not responded to initial first line advice

Patients with Type 2 diabetes with a cholesterol above 4mmol/l or LDL > 2mmol/l

Patients who have poorly controlled diabetes who also have complications such as renal impairment, leg ulcers, CVD and/or hypoglycaemia.

Nutritional support

Provide current weight and weight history over the previous 3 months with BMI and/or height. If bedbound, please provide MUAC measurement where possible.

Our referral criteria for Oral Nutrition Support is as below:

MUST 2 or more (see MUST Online calculator to calculate)

Pressure sore/ulcer

5-10% unintentional weight loss within 6 months and BMI <18.5kg/m2 (link to NHS BMI Calculator) https://www.nhs.uk/live-well/healthy-weight/bmi-calculator/

5% unintentional weight loss within 3-6 months and BMI < 20kg/m2

Poor appetite lasting longer than 5 days with an acute illness

On oral nutritional supplements

Patients with Swallowing difficulties with any of the above(a-e) e.g. post CVA, dysphagia MUST be referred to a Speech and Language Therapist before referral to a Dietitian

How to refer

All referrals should be made using the Nutrition and Dietetics Referral Form located in the referrals section.

If unable to access link, please send your referral form via the Central Booking Service on haringey.adult-referrals@nhs.net

IBS referral proforma must be completed for all referrals for IBS

 

Haringey locations

 

Contacts

If you have a query regarding a patient you have referred please email the appropriate service for advice, email the relevant team below or call 020 3316 1111/1600.

If you wish to contact the Nutrition and Dietetics Service, please call: 0203 316 8871

Home Enteral Feeding Patients:

hef.whitthealth@nhs.net

Clinic/ONS and General enquiries:dietitians.whitthealth@nhs.net


How to refer

The following clinicians can refer to this service: GPs, Nurses

Editable PDF / Word document Download Form

Referral methods: Email